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MARY KATHLEEN ARST MD
NPI 1295173003
Dermatology in Providence, RI

Active since June 13, 2013PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-7959(401) 444-7144 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2024, Jun 28, 2018, Mar 2, 2016 (3 updates tracked since 2016).

About Mary Kathleen Arst Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHLEEN ARST MD (NPI 1295173003) is an individual dermatology provider in Providence, Rhode Island, licensed in Rhode Island (03225) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1295173003
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMARY KATHLEEN ARSTCredential: MD
Location Address593 EDDY STProvidence, RI 02903
Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 444-7959 · Fax (401) 444-7144
Phone(401) 444-7959
Fax(401) 444-7144
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 13, 2013
Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration
✔ NPI 1295173003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in RI · 03225
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
593 EDDY ST, Providence, RI 02903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Kathleen Arst Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395962997
PECOS Enrollment IDI20201019002521
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Arst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Makana North Shore Dermatology
5,123 mi
Dermatology
4488 HANALEI PLANTATION RD
Princeville, HI 96722
  • Reassigned Medicare billing, Hawaii enrollment
  • 8 clinicians in this Medicare group
NPI 1356149892 (808) 320-7300
The Makana North Shore Clinic
5,123 mi
Urgent Care
4488 HANALEI PLANTATION RD
Princeville, HI 96722
  • Reassigned Medicare billing, Hawaii enrollment
  • 52 clinicians in this Medicare group
NPI 1114431632 (808) 320-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Arst's NPI number?

The NPI number for Mary Arst is 1295173003. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Mary Arst located?

Mary Arst practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-7959.

What is Mary Arst's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mary Arst enrolled in Medicare?

Yes. Mary Arst is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Arst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Arst reassigns Medicare benefits to 2 organizations: Makana North Shore Dermatology (Princeville, HI) and The Makana North Shore Clinic (Princeville, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Arst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Arst accept?

Health plans from HMSA and Kaiser Permanente list Mary Arst as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Arst was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.